Role of coronary artery calcification detection in tailoring patient care, personalized risk assessment, and prevention of future cardiac events.

IF 2 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
Current Opinion in Cardiology Pub Date : 2025-07-01 Epub Date: 2025-03-11 DOI:10.1097/HCO.0000000000001216
Rohan Kankaria, Abhishek Gami, Jaideep Patel
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引用次数: 0

Abstract

Purpose of review: We review the utility of coronary artery calcium (CAC) scoring in personalized risk assessment and initiation of cardiovascular disease risk modifying therapy.

Recent findings: Many populations - including South Asians, patients with cancer, patients with human immunodeficiency virus (HIV), younger patients, and elderly patients - were not included during the conception of the current risk stratification tools. CAC scoring may allow clinicians to risk-stratify these individuals and help initiate preventive therapy in higher risk populations. Furthermore, CAC scoring may be able to be integrated into current imaging practices to allow for more ubiquitous and equitable screening practices.

Summary: CAC scoring is an additional, objective metric that may allow for nuanced and personalized risk assessment of future atherosclerotic cardiovascular disease (ASCVD) events.

冠状动脉钙化检测在定制患者护理、个性化风险评估和预防未来心脏事件中的作用。
回顾目的:我们回顾了冠状动脉钙(CAC)评分在个性化风险评估和心血管疾病风险调节治疗开始中的应用。最近的发现:许多人群——包括南亚人、癌症患者、人类免疫缺陷病毒(HIV)患者、年轻患者和老年患者——在目前的风险分层工具的构想中没有包括在内。CAC评分可以让临床医生对这些个体进行风险分层,并帮助在高风险人群中启动预防性治疗。此外,CAC评分可能能够整合到当前的成像实践中,以允许更普遍和公平的筛查实践。总结:CAC评分是一种额外的客观指标,可以对未来动脉粥样硬化性心血管疾病(ASCVD)事件进行细致入微的个性化风险评估。
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来源期刊
Current Opinion in Cardiology
Current Opinion in Cardiology 医学-心血管系统
CiteScore
4.20
自引率
4.30%
发文量
78
审稿时长
6-12 weeks
期刊介绍: ​​​​​​Current Opinion in Cardiology is a bimonthly publication offering a unique and wide ranging perspective on the key developments in the field. Each issue features hand-picked review articles from our team of expert editors. With fourteen disciplines published across the year – including arrhythmias, molecular genetics, HDL cholesterol and clinical trials – every issue also contains annotated reference detailing the merits of the most important papers.
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